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Experience of Spiritual Conflict in Hospice Nurses: A Phenomenological Study
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Byoung Sook Lee, Su Young Kwak
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J Korean Acad Nurs 2017;47(1):98-109. Published online February 28, 2017
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DOI: https://doi.org/10.4040/jkan.2017.47.1.98
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 Abstract
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Purpose
This aim of this phenomenological study was to describe and understand the experience of spiritual conflict in hospice nurses by identifying the meanings and structures of the experience.
Methods
Participants were 12 nurses working for one year or more at hospice units of general hospitals in a metropolitan city and experiencing of spiritual conflict as hospice nurses. Over six months data were collected using individual in-depth interviews and analyzed with the method suggested by Colaizzi.
Results
The experience of spiritual conflict in participants was organized into three categories, six theme-clusters, and 13 themes. The participants felt existential anxiety on death and a fear of death which is out of human control and skepticism for real facts of human beings facing death. They also experienced agitation of fundamental beliefs about life with agitation of the philosophy of life guiding themselves and mental distress due to fundamental questions that are difficult to answer. Also they had distress about poor spiritual care with guilty feelings from neglecting patients' spiritual needs and difficulties in spiritual care due to lack of practical competencies.
Conclusion
Findings indicate the experience of spiritual conflict in hospice nurses is mainly associated with frequent experience of death in hospice patients. The experience of spiritual conflict consisted of existential anxiety, agitation of fundamental beliefs and distress over poor spiritual care. So, programs to help relieve anxiety, agitation and distress are necessary to prevent spiritual conflict and then spiritual burnout in hospice nurses.
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Citations
Citations to this article as recorded by  - The effects of nurses' spiritual well-being and death awareness on end-of-life nursing attitudes in Korea: a cross-sectional study
Hyemin Kim, Seunghye Choi
Journal of Korean Biological Nursing Science.2024; 26(4): 393. CrossRef - Spiritual Care Expectations Among Cancer and Noncancer Patients With Life-Threatening Illnesses
Kyung-Ah Kang, Shin-Jeong Kim
Cancer Nursing.2024; 47(4): E269. CrossRef - Perspectives of the Value in Life among Nursing Professionals: A Q-methodology Study
Misoon Jeon, Eun Sil Jang, Eun Ja Yeun
Sage Open.2022;[Epub] CrossRef - Moderating Effect of Nurse’s Character on the Relationship between Attitudes toward Nursing Care of the Dying and Performance of Terminal Care in South Korea
Kawoun Seo
Healthcare.2021; 9(9): 1195. CrossRef - Burnout and Related Factors of Nurses Caring for DNR Patients in Intensive Care Units, South Korea
Sohyune Sok, Hyebeen Sim, Bokhee Han, Se Joung Park
International Journal of Environmental Research and Public Health.2020; 17(23): 8899. CrossRef - Health care Professionals' Reflections on Their Learning as Spiritual Generalists and Integration Into Practice
Mary Martha Thiel, Donna Luff, Emma E. Kerr, Mary R. Robinson, Elaine C. Meyer
Journal of Continuing Education in the Health Professions.2020;[Epub] CrossRef - Experiences of Precocious Puberty in Primary School Girls with Hormone Therapeutics
Soon Mi Cheon, Hye Young Jung
Journal of Korean Academic Society of Nursing Education.2019; 25(4): 459. CrossRef - Spiritual Care in the Intensive Care Unit: A Narrative Review
Jim Q. Ho, Christopher D. Nguyen, Richard Lopes, Stephen C. Ezeji-Okoye, Ware G. Kuschner
Journal of Intensive Care Medicine.2018; 33(5): 279. CrossRef
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Experience in Acceptance of Hospice by Patients with Terminal Cancer : A Phenomenological Research
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Su Young Kwak, Byoung Sook Lee
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J Korean Acad Nurs 2013;43(6):781-790. Published online December 31, 2013
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DOI: https://doi.org/10.4040/jkan.2013.43.6.781
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Abstract
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Purpose
The purpose of this study was to further understanding of the experience in acceptance of hospice by patients with terminal cancer and to explore the structure of this experience.
Methods
A phenomenological methodology was used for the study. Participants were nine patients who were admitted to the hospice unit of a university hospital. In-depth interviews were done for data collection and the data were analyzed using Colaizzi's method.
Results
Four categories, eight theme clusters and 18 themes were identified for the experience in acceptance of hospice by patients with terminal cancer. The three categories were 'Hope for a comfortable death', 'Overcoming barrier of prejudice about hospice', 'Incessant craving for life', 'The last consideration for self and family'.
Conclusion
While accepting the hospice care, participants experienced inner conflict between giving up medical treatments that prolong life and choosing a comfortable death, and also experienced an incessant craving for life. By accepting hospice care, they showed a human dignity that entails careful concerns for both self and family members.
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Citations
Citations to this article as recorded by - Predictors of end-of-life care stress, calling, and resilience on end-of-life care performance: a descriptive correlational study
Ji-Young Kim, Eun-Hi Choi
BMC Palliative Care.2022;[Epub] CrossRef - Concept Analysis of Illness Acceptance in Chronic Disease: Application of Hybrid Model Method
Il Sun Ko, Hyunju Ji, Soyun Hong, Eunyoung Jung
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 67. CrossRef - Human relationships in patients’ end-of-life: a qualitative study in a hospice ward
Marika Lo Monaco, Raffaella Mallaci Bocchio, Giuseppe Natoli, Salvatore Scibetta, Teresa Bongiorno, Christiano Argano, Salvatore Corrao
Internal and Emergency Medicine.2020; 15(6): 975. CrossRef - Caregiver burden, patients' self-perceived burden, and preference for palliative care among cancer patients and caregivers
Ji Eun Lee, Dong Wook Shin, Juhee Cho, Hyung Kook Yang, So Young Kim, Hyo Sang Yoo, Hyun Jung Jho, Joo Yeon Shin, Belong Cho, Keeho Park, Jong-Hyock Park
Psycho-Oncology.2015; 24(11): 1545. CrossRef - Nurses' Spirituality and Attitude toward Terminal Care in Geriatric Hospital
Keum-Jae Lee, Yeon-Suk Park
Journal of Digital Convergence.2015; 13(12): 347. CrossRef - Experience of Home-Based Hospice Care of Terminal-Cancer Patients
Boon Han Kim, Hwa Jung Kang
The Korean Journal of Hospice and Palliative Care.2014; 17(4): 223. CrossRef - Feasibility Evaluation of Korean Advance Directives (K-AD)
Shin Mi Kim, Sun Woo Hong, Jin Shil Kim, Ki Sook Kim
The Journal of Korean Academic Society of Nursing Education.2014; 20(4): 639. CrossRef
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